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CC BY-NC-ND 4.0 · Indian J Plast Surg 2022; 55(04): 391-395
DOI: 10.1055/s-0042-1759552
Original Article

Eponychial Flap: A Simpler Way to Achieve Better Aesthetic Outcome in a Fingertip Amputation

Autoren

  • Srikant Aruna Samantaray 

    1   Department of Plastic Surgery, Baby Memorial Hospital, Kozhikode, Kerala, India

  • Kader Kalathingal 

    1   Department of Plastic Surgery, Baby Memorial Hospital, Kozhikode, Kerala, India

  • Hafiz Muhammed 

    1   Department of Plastic Surgery, Baby Memorial Hospital, Kozhikode, Kerala, India

  • Subin Joseph 

    1   Department of Plastic Surgery, Baby Memorial Hospital, Kozhikode, Kerala, India
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Abstract

Background There are numerous flaps described for the treatment of fingertip amputation. Shortened nail length resulting from amputation is an ignored area. Eponychial flap is a simple procedure that helps to lengthen the nail plate and correct this deformity.

Methods This case–control study was conducted between April 2016 and June 2020 aimed at comparing the outcome of nail defects in a fingertip amputation treated with eponychial flap and those treated without an eponychial flap.

Results Among 165 patients treated for fingertip injury, 78 were treated with eponychial flap (group A) and 87 without eponychial flap (group B). In group A, the nail length was 72.54% (standard deviation [SD]: 14.4) and the nail plate area was 74.35% (SD: 13.96) compared with the contralateral uninjured nail. These results were significantly better (p = 0.000) compared with group B where the values were 36.49 (SD: 8.45) and 35.8% (SD: 8.4), respectively. The aesthetic outcome score was also significantly higher in group A patients (p = 0.002). The patient satisfaction was superior in group A compared with group B.

Conclusion The eponychial flap is a simple and reliable technique that can be used to restore the visible nail length in traumatic fingertip defects. Compared with fingers treated without nail lengthening with eponychial flap gives excellent aesthetic results.

Keywords

fingertip amputation - eponychial flap - fingertip injury

Ethics Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The Institutional Ethical Committee approval was obtained for this study.


Informed Consent

Informed consent was obtained from all individual participants included in the study.


Authors' Contributions

All the authors had significantly contributed toward the study design, collection of data, and writing of this manuscript.




Publikationsverlauf

Artikel online veröffentlicht:
30. Dezember 2022

© 2022. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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